Reviews
The trouble with neuralgic amyotrophy
Neurologist/Clinical, Neurophysiologist Department of Neurology and Clinical, Neurophysiology Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands
Correspondence to:
Correspondence to:
Dr N van Alfen, 920 KNF, Radboud University, Nijmegen Medical Centre, PO Box 9101, 6500 HB Nijmegen, the Netherlands;
n.vanalfen@neuro.umcn.nl
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Imagine yourself waking up early one morning with a severe pain in your shoulder and upper arm. At first you attribute this to some strain a day or so before, but after a few hours the pain has become so severe that you go to your family practitioner or emergency department in a slight panic. The doctor looks at your shoulder and arm but sees nothing amiss, apart from the fact that you are constantly holding your arm close to your body, keeping it immobile. You are reassured that nothing appears to be seriously wrong, given a non-steroidal anti-inflammatory drug (NSAID), and sent home with advice to see a physical therapist. After a few sleepless weeks because of the relentless pain, and several unsuccesful therapeutic sessions, the therapist notices that your scapula seems to be protruding and the whole shoulder looks as if it has sagged. Some muscles are atrophic
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